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Market snapshot

46946 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

46946 — Tying of multiple internal hemorrhoid groups

Billing groups
7
Named-group FFS services
280
FFS of Medicare
49%
Services YoY
+23.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~593 services

280 observed fee-for-service (47%) · ~313 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 46946 (CY2024)

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$238K
Named-group allowed amount
$107K
Named-group Medicare payments
$83K
Avg charge / svc
$850
Avg allowed / svc
$381
Avg payment / svc
$298
Average charge per group
$610 7 groups · avg submitted charge / service $1,500
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 46946 services, CY2024
#Physician group City St Specialty Providers 46946 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 TEXARKANA GASTROENTEROLOGY CONSULTANTS, PA TEXARKANA TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 18 109 $81,703 $750 premium 40.2% 90379280302080
2 NEW YORK GASTROENTEROLOGY ASSOCIATES LLP NEW YORK NY GASTROENTEROLOGY 25 47 $47,000 $1,000 premium 21.0% (212) 996-6633
3 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 44 $34,716 $789 premium 27.3% (941) 794-1980
4 MADHU K. KRIS, M.D., INC. MERCED CA GASTROENTEROLOGY 3 31 $23,600 $761 premium 52.5% (209) 384-3115
5 ETMC PHYSICIAN GROUP, INC. TYLER TX NURSE PRACTITIONER 373 19 $11,590 $610 premium 7.0% (903) 590-5611
6 CENTER FOR GASTROINTESTINAL HEALTH SC FAIRVIEW HEIGHTS IL GASTROENTEROLOGY 4 19 $28,500 $1,500 premium 50.0% (618) 239-0678
7 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 11 $10,835 $985 premium 4.1%

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →